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1811647183
GARRETT DAVID RUCKER
NORFOLK, VA
NPI
1811647183
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: VA 0116038107)
Enumeration Date
2022-03-28
Last Update Date
2023-06-29
Business Address
GARRETT DAVID RUCKER MD
600 GRESHAM DR
NORFOLK, VA 23507-1904
Phone number: 757-388-3000
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Mailing Address
GARRETT DAVID RUCKER MD
PO BOX 1980
NORFOLK, VA 23501-1980
Phone number: 757-388-1141
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